Graduated: 1973
NPI: 1871667089
Practice Locations (2)
PHYSICAL THERAPY AND SPORTS MEDICINE OF NORTHERN NEW MEXICO, INC.
505 N MAIN AVE
AZTEC, NM 874101942
5053349616
PHYSICAL THERAPY AND SPORTS MEDICINE OF NORTHERN NEW MEXICO, INC.
505 N MAIN AVE
AZTEC, NM 874101975
Source: CMS National Downloadable File, September 2026.